| Regimental number | 1766 |
| Place of birth | Rushworth Victoria |
| Religion | Church of England |
| Occupation | Sailor |
| Address | 18 Collie Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Enlistment date | 15 February 1916 |
| Date of enlistment from Nominal Roll | 11 February 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 20 December 1918 |
